Bed Bath/perineal Care Procedure Steps

Front 1

Step 1

Back 1

Initial steps

Front 2

Step 2

Back 2

offer resident bed pan or urinal

Hint 2

reduces chance of urination during procedure which may cause discomfort and embarrassment

Front 3

Step 3

Back 3

drape resident

Hint 3

maintains residents dignity and right to privacy

Front 4

step 4

Back 4

fill bath basin with warm water and have resident check water temp for comfort, if able

Front 5

step 5

Back 5

put on gloves

Front 6

step 6

Back 6

fold washcloth and wet

Front 7

step 7

Back 7

gently wash eye from inner corner to outer corner, using a different part of the cloth to wash other eye

Front 8

step 8

Back 8

wet washcloth and apply soap, if requested. wash, rinse, and pat dry face, neck, and behind ears

Front 9

step 9

Back 9

remove gown

Front 10

step 10

Back 10

place towel under far arm

Front 11

step 11

Back 11

wash, rinse, and pat dry hand, arm, shoulders, and underarm.

Front 12

step 12

Back 12

repeat steps with other arm

Front 13

step 13

Back 13

place towel over chest and abdomen, lower bath blanket to waist

Front 14

step 14

Back 14

lift towel and wash, rinse, and pat dry chest and abdomen

Front 15

step 15

Back 15

pull up bath blanket and remove towel

Front 16

step 16

Back 16

uncover and place towel under far leg

Front 17

step 17

Back 17

wash, rinse, and pat dry leg and foot. be sure to wash, rinse, and dry well between the toes

Front 18

step 18

Back 18

repeat with other leg and foot

Front 19

step 19

Back 19

change bath water and gloves, wash hands and use clean gloves and towel

Front 20

step 20

Back 20

assist resident to spread legs and lift knees, if possible

Front 21

step 21

Back 21

wet and soap folded washcloth

Front 22

step 22: catheter care

Back 22

if resident has catheter, check for leakage, secretions, or irritation. gently wipe four inches of catheter from meatus out

Front 23

step 23: perineal care

Back 23

wipe from front to back and from center of perineum out to the thighs. if washcloth is visibly soiled, change cloth

Front 24

step 24

Back 24

change water in basin. wash hands and change gloves. with a clean washcloth rinse area thoroughly in the same direction as when washing (front to back)

Front 25

step 25

Back 25

gently pat dry area in same direction as when washing.

Front 26

step 26

Back 26

assist resident to lateral position, facing away from you

Front 27

step 27

Back 27

wet and soap washcloth

Front 28

step 28

Back 28

clean anal area from front to back, rinse and pat dry thoroughly

Front 29

step 29

Back 29

Change bath water and gloves, use clean washcloth and towel

Front 30

step 30

Back 30

wash rinse and pat dry from neck to buttocks

Front 31

step 31

Back 31

return to supine position

Front 32

step 32

Back 32

wash hands and change gloves

Front 33

step 33

Back 33

help resident put on clean gown

Front 34

step 34

Back 34

do final steps

Front 35

step 35

Back 35

report any reddened areas, abrasions, or bruises to the nurse